Non-Malignant Cerebrospinal Fluid Ascites in a Patient with Atypical Teratoid Rhabdoid Tumor

Santhosh A. Upadhyaya, Paul Klimo, Giles W. Robinson

Research output: Contribution to journalArticle

Abstract

Background: The development of symptomatic ascites from a ventriculoperitoneal shunt is rare in children without prior intra-abdominal pathology. Here we report a case of symptomatic ascites in a young child with a ventriculoperitoneal shunt and metastatic atypical teratoid rhabdoid tumor. Case Report: This 15-month-old boy developed symptomatic ascites while undergoing chemotherapy for his malignant brain tumor. Diagnostic work up to identify the etiology of this ascites yielded a non-malignant, sterile transudate, refractory to repeated paracentesis. The ascites finally resolved with the conversion of the ventriculoperitoneal shunt to a ventriculoatrial shunt. Conclusion: This case report highlights the need to be suspicious of non-malignant cerebrospinal fluid ascites as a cause of peritoneal fluid accumulation even in children with malignant primary brain tumor. In this setting, conversion of the shunt from peritoneal to atrial drainage can rapidly alleviate the morbidity associated with this condition.

Original languageEnglish (US)
Pages (from-to)216-219
Number of pages4
JournalOncology Research and Treatment
Volume40
Issue number4
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

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Ascites
Cerebrospinal Fluid
Ventriculoperitoneal Shunt
Brain Neoplasms
Paracentesis
Ascitic Fluid
Exudates and Transudates
Typical Teratoid Rhabdoid Tumor
Atypical Teratoid Tumor
Drainage
Pathology
Morbidity
Drug Therapy

All Science Journal Classification (ASJC) codes

  • Hematology
  • Oncology
  • Cancer Research

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Non-Malignant Cerebrospinal Fluid Ascites in a Patient with Atypical Teratoid Rhabdoid Tumor. / Upadhyaya, Santhosh A.; Klimo, Paul; Robinson, Giles W.

In: Oncology Research and Treatment, Vol. 40, No. 4, 01.03.2017, p. 216-219.

Research output: Contribution to journalArticle

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